Individual
NICHOLAS GENNUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
526 S BURNT MILL RD, VOORHEES, NJ 08043-2205
(856) 227-2717
Mailing address
526 S BURNT MILL RD, VOORHEES, NJ 08043-2205
(856) 227-2717
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07392100
NJ
Other
Enumeration date
06/24/2026
Last updated
06/24/2026
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